Total Health Trust

policy holder details

Register as a Policy Holder

Please hover your cursor on each field for tips on how to enter the data appropriately

Policy holder's number

Policy holder's first names

Policy holder's last names

Policy holder's DoB

Policy holder's mobile number

Policy holder's email address

Password must:
• Be a minimum of 8 characters
• Contain at least one uppercase letter ('A' - 'Z')
• Contain at least one symbol ('!', '*', '#', '_', etc)
• Not contain sequential letters and numbers ('abc', '123')

New password

Confirm new password

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